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Individual

DR. LOWELL LAMAR STYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2864 ASHMUN ST, SAULT SAINTE MARIE, MI 49783-3740
(906) 632-5200
(906) 632-5276
Mailing address
2864 ASHMUN ST, SAULT SAINTE MARIE, MI 49783-3740
(906) 632-5200
(906) 632-5276

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MI048380
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0807015771
BLUE CROSS PROVIDER NUMBE
MI
05
1749990
MI
01
18 358-1
FAA EXAMINER NUMBER
MI
Enumeration date
08/23/2005
Last updated
10/11/2011
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